First and foremost, you should review the Endodontic Manual you received during the 4th quarter preclinical rotation and remind yourself of the design of the access opening preps and the current strategies for cleaning and shaping root canal systems. You will find re-reading the manual at this stage of your education will be quite valuable.
Make sure you have entered your objective and subjective data into the endodontic diagnostic section of axiUm to determine both the pulpal and periradicular diagnosis. It makes a good impression on the endodontists if they don’t have to tell you to make a diagnosis prior to starting therapy. Remember that for any tooth with endodontic treatment need there is both a pulpal and an apical diagnosis. The axiUm form has pull-down menus for both.
Interview the patient and verify that their med history is stable. Inform the endodontist of any significant medical concerns. If the tooth has previously been accessed in Emergency by another student doctor, it is important that you take an x-ray before you begin just to ensure that there was no perforation and that there are no changes in tooth restorability. It is important to have a plan for restoring the tooth after endodontic treatment and you should discuss this with the patient. You should call over a restorative instructor if you have any questions about the final treatment plan. When all consultations are completed, and a new diagnosis is made prior to formal root canal therapy, get the patient's informed consent signature on the special form in axiUm. Once you have obtained the start check from the endodontic faculty, you can anesthetize the patient. Confirm anesthesia and place the rubber dam. REMEMBER to use the Endo/Emerg form to document endodontic treatment procedures.